Rivermead Gate Medical Centre

CLOSED Temporarily – Wood Street Surgery

Patient forms

Please find list of links to patient forms below:

Update your details (online form)

Update your next of kin (online form)

Register for online services (online form)

GP Online Services registration (pdf)

Proxy Access Consent form (word doc)

New patient registration (online form)

Care home registration pack (online forms)

New patient registration – Students (online form)

New patient registration – Asylum Seekers (online form)

Apply online for help with NHS costs (HC2 form) (external link opens in new tab)

Consent to access medical record by a third party (word doc)

Travel health questionnaire (online form or pdf)

Self referral online form to Mid Essex Talking Therapies (formally IAPT) (external link opens in new tab)

Let us know you are a carer (online form)

Date published: 3rd January, 2023
Date last updated: 10th November, 2023